<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <input type="hidden" name="row[id]" value="{$data.id}">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">开户姓名:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bank_name" class="form-control" name="row[bank_name]" type="text" value="{$data.bank_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">银行卡号:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-card_number" class="form-control" name="row[card_number]" type="text" value="{$data.card_number|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">开户行:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-account_bank" class="form-control" name="row[account_bank]" type="text" value="{$data.account_bank|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">身份证号码:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-id_num" class="form-control" name="row[id_num]" type="number" value="{$data.id_num|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">预留手机:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bank_phone" class="form-control" name="row[bank_phone]" type="number" value="{$data.bank_phone|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">是否已处理:</label>
        <div class="col-xs-12 col-sm-8">
            
            <div class="radio">
            {foreach name="statusList" item="vo"}
            <label for="row[watch]-{$key}"><input id="row[watch]-{$key}" name="row[watch]" type="radio" value="{$key}" {in name="key" value="$data.watch"}checked{/in} /> {$vo}</label> 
            {/foreach}
            </div>

        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
